Provider Demographics
NPI:1063255859
Name:FREEDOM PROPERTIES-HEMET LLC
Entity type:Organization
Organization Name:FREEDOM PROPERTIES-HEMET LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSKAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-489-0430
Mailing Address - Street 1:27134 PASEO ESPADA # A321
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-5708
Mailing Address - Country:US
Mailing Address - Phone:949-489-0430
Mailing Address - Fax:
Practice Address - Street 1:2400 W ACACIA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-3743
Practice Address - Country:US
Practice Address - Phone:951-766-5116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FREEDOM PROPERTIES-HEMET, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility